Individual
LAURA VECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1 CITY CTR, PORTLAND, ME 04101-6420
(207) 773-7788
(207) 773-7711
Mailing address
82 LOWELL ST, SOUTH PORTLAND, ME 04106-3005
(207) 773-7788
(207) 773-7711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT3030
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098931
ANTHEM
ME
Enumeration date
03/20/2007
Last updated
10/09/2008
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